Grabowski, Andrew Micah
Grabowski, Andrew Micah is an individual health care provider with primary practice located at 4438 Telegraph Rd , Saint Louis MO 63129-3316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grabowski, Andrew Micah can be contacted via phone (314) 543-5996.Contact Information
Primary practice address
4438 Telegraph Rd
Saint Louis MO 63129-3316
Phone: (314) 543-5996
Fax: (314) 543-5958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2003019557 | Missouri |
Profile Details
| NPI number | 1093714917 |
|---|---|
| LBN Legal business name | Grabowski, Andrew Micah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Mar 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093714917 | NPPES |
| Missouri | Other | 924975688 | MEDICARE PTAN # |
| Missouri | MEDICAID | 209278019 | MEDICARE PTAN # |
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